Lead clinical operations across physical sites, mobile units, and traveling clinical teams. Ensure high-quality protocol execution, participant safety, and adherence to GCP and FDA regulations. Oversee clinical workflows at sites and mobile deployments. Manage, develop, and evaluate all clinical research staff. Implement training, competency standards, and performance expectations for all clinical staff. Provide input into staffing budgets, resource planning, and clinical support models. Monitor enrollment, data quality, documentation practices, and clinical performance metrics. Partner with regulatory, medical, data, participant experience, and site operations teams. Drive continuous improvement in clinical quality, consistency, and operational efficiency.